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Nemvaleukin Alfa

Phase 2

Squamous Cell Carcinoma of Head and Neck | Small molecule | Oncology |Mural Oncology plc|Last Updated: Oct 16, 2024

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Trial Design
CONTROLLED
Total Trials1
Total Enrollment14
FDA Designations
No designations recorded
Clinical trial landscape

Nemvaleukin Alfa · 2 trials · 2 indications

Phase 2 1Phase 1 1
NCT04144517A Study of ALKS 4230 (Nemvaleukin Alfa) With Pembrolizumab in Head and Neck CancerSquamous Cell Carcinoma of Head and Neck
COMPLETED14 Analytics
PHASE2COMPLETED
A Study of ALKS 4230 (Nemvaleukin Alfa) With Pembrolizumab in Head and Neck Cancer
Squamous Cell Carcinoma of Head and NeckUnlock trial analytics
Study Endpoints
Primary Endpoints
Overall Response Rate (ORR) Based on RECIST v1.1
From the first dose of study drug until first PD or death, whichever occurred first (up to 49 weeks)

ORR was defined as percentage of participants with complete response (CR) or PR as assessed by investigator based on response evaluation criteria in solid tumors (RECIST) version (v) 1.1. CR was defined as the disappearance of all target and non-target lesions (non-lymph nodes). All pathological lymph nodes (whether target or non-target) must have a reduction in their short axis less than (\<) 10 millimeters (mm). PR was defined as at least a 30 percent (%) decrease in the sum of diameter (SOD) of target lesions, taking as reference the baseline sum diameters. PD was defined as at least 20% increase (including an absolute increase of at least 5 mm) in the SOD of target lesions, taking as reference the smallest sum and/or unequivocal progression of existing non-target lesions and/or appearance of 1 or more new lesions.

Changes in density (cell counts per mm2) of immune cell (including total T cells, CD8+ T cells, CD56+ cells and Treg cells)
From the time of the Patient's pre-treatment biopsy to the time of the Patient's on-treatment biopsy

Changes in density (cell counts per mm2) of immune cell (including total T cells, CD8+ T cells, CD56+ cells and Treg cells) based on immunohistochemistry (IHC) and/or immunofluorescence (IF) in the TME between pretreatment and on-treatment (Cycle 2 Day 8) paired tumor biopsies

Changes in ratios (including T/Treg, CD8+/Treg, CD56+/Treg) based on immunohistochemistry (IHC) and/or immunofluorescence (IF) in the TME between pretreatment and on-treatment (Cycle 2 Day 8) paired tumor biopsies
From the time of the Patient's pre-treatment biopsy to the time of the Patient's on-treatment biopsy
Incidence of dose-limiting toxicity (DLT)
From the first dose through end of dose-limiting toxicity observation period (up to 24 months)
Secondary Endpoints
Duration of Response (DOR) Based on RECIST v1.1
From first documented CR or PR until first documentation of PD (up to 49 weeks)
Progression-free Survival (PFS) Based on RECIST v1.1
From the first dose of study drug to date of PD, start of alternate therapy or death, whichever occurred first (up to 49 weeks)
Time to Progression (TTP) Based on RECIST v1.1
From first dose of study drug to the date of the first documentation of PD (up to 49 weeks)
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Study Design & Arms
AllocationNON_RANDOMIZED
MaskingNONE
ModelSINGLE_GROUP
PurposeTREATMENT
Treatment Arms
ArmTypeDescription
Group 1: Nemvaleukin 3 mcg/kg + Pembrolizumab 200 mgEXPERIMENTALParticipants with current stable disease (SD) or partial response (PR) (Cohorts 1 and 2) who were not progressing or further demonstrating reductions in tumor size were to receive nemvaleukin alfa 3 microgram per kilogram (mcg/kg), intravenous (IV) infusion, daily from Days 1 to 5 of the first week of each 3-week treatment cycle in combination with pembrolizumab 200 milligram (mg), IV infusion, once, every three weeks (Q3W) on Day 1 of each 21-day cycle until confirmed progression, unacceptable toxicity or met other criteria for discontinuation.
Group 2: Nemvaleukin Alfa 3 mcg/kg + Pembrolizumab 200 mgEXPERIMENTALParticipants with progressive disease (PD) (Cohorts 3 and 4) received nemvaleukin alfa 3 mcg/kg, IV infusion, daily from Days 1 to 5 of the first week of each 3-week treatment cycle in combination with pembrolizumab 200 mg, IV infusion, once, Q3W on Day 1 of each 21-day cycle until confirmed progression, unacceptable toxicity or met other criteria for discontinuation.
Cohort 1: Tumor Microenvironment (TME) Nemvaleukin and PembrolizumabEXPERIMENTALNemvaleukin will be administered via Intravenous (IV) infusion given daily for 5 consecutive days followed by an off-treatment period. Starting on Cycle 3, Day 1 of each cycle, Pembrolizumab will be administered via IV infusion followed by IV infusion of nemvaleukin
Cohort 2 Part A: Less Frequent IV Dosing NemvaleukinEXPERIMENTAL -
Cohort 2 Part B: Less Frequent IV Dosing Nemvaleukin and PembrolizumabEXPERIMENTALThis arm will not open for enrollment.
Interventions
NameTypeDescription
Nemvaleukin AlfaDRUGNemvaleukin alfa IV infusion.
PembrolizumabDRUGPembrolizumab IV infusion.
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Eligibility Criteria
Age Range18 Years to N/A
SexALL
Healthy VolunteersNo
Study Sites7

Inclusion Criteria: * Patients must have histologically or cytopathologically confirmed diagnosis of non-cutaneous squamous cell carcinoma of the head and neck region that is locally advanced and/or recurrent and no longer amenable to local surgical or radiation therapy and/or with evidence of dist...

Countries:United StatesSpain
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Recent Changes (Last 90 Days)
LOWMay 26, 2026NCT04592653primaryCompletionDate: changed
LOWMay 24, 2026NCT04592653studyFirstPostDate: changed